Search › Texas › 363A00000X
Keelie Johnston, PA-C
NPI 1386344471 · on the registry since 2023
Practice
- Address
- 1038 S Fleishel Ave
Tyler, TX 75701 - Phone
- (903) 593-9474
- Fax
- (903) 593-9477
- Organisation at this address
- Summit Dermatology, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas